摘要
目的:探讨胸腔镜胸腺切除术后不留置引流管的临床效果及安全性。方法:采用随机对照法比较胸腔镜胸腺切除术后留置与不留置引流管的临床效果,利用计算机产生随机数字的方法将2014年5月至2016年5月就诊的54例良性胸腺肿瘤患者分为观察组(n=27)与对照组(n=27)。观察组胸腔镜胸腺切除术后不留置引流管,对照组术后则留置引流管。对比评估两组手术时间、术中出血量、术后住院时间、术后疼痛度及术后并发症情况。结果:两组均顺利完成手术。观察组术后住院时间短于对照组,差异有统计学意义(t=-5.811,P<0.001),两组术中出血量、手术时间差异无统计学意义(P>0.05)。术后第1天、第3天,观察组疼痛度低于对照组,差异有统计学意义(t=-6.244,P<0.001;t=-5.988,P<0.001)。术后并发症发生率两组相比差异无统计学意义(P>0.05)。结论:胸腔镜胸腺切除术后不留置引流管可缩短住院时间,减轻术后疼痛,改善术后生活质量,且不增加术后并发症的发生风险,是安全、可行的。
Objective： To assess clinical effect and the safety of non-drainage treatment after thoracoscopic thymectomy in patients with benign thymic tumor. Methods： The clinical effects of drainage and non-drainage after thoracoscopic thymectomy were compared by randomized controlled method. 54 patients with benign thymic tumor from May 2014 to May 2016 were divided into observation group（ n = 27） and control group（ n = 27） by computer generated random numbers. The observation group was treated with non-drainage after thymectomy and the control group was treated with drainage after thymectomy. The operation time,the intraoperative blood loss,and the postoperative pain degrees,postoperative hospital stay and the incidence of complications of the two groups were compared.Results： All operations were successful. The postoperative hospital stay of observation group was shorter than that of the control group,and the difference was statistically significant（ t =-5. 811,P〈0. 001）. On the postoperative first day and third day,the pain degrees of observation group were less than those of the control group,and the differences were statistically significant（ t =-6. 244,P 0. 001; t =-5. 988,P 0. 001）. While the differences of the intraoperative blood loss,operative time and incidence of complications between 2groups were not statistically significant（ P 0. 05）. Conclusions： Non-drainage after thoracoscopic thymectomy can shorten the postoperative hospital stay,relieve the postoperative pain degrees,improve postoperative quality of life and will not increase the risk of postoperative complications. So non-drainage treatment after thoracoscopic thymectomy is safe and feasible.
作者
张涛
李勃
刘文
王博
ZHANG Tao LI Bo LIU Wen(Department of Thoracic Surgery, Central Hospital of Xianyang, Xianyang 712000, China)
出处
《腹腔镜外科杂志》
2016年第12期891-893,共3页
Journal of Laparoscopic Surgery
